State Bonding Coordinators or AJC Counselors -- Data Collection and Submission

Fidelity Bonding Issuance

Documents and Forms

Document Name Document Type
Fidelity Bonding Issuance Form.docx Other-Fidelity Bonding Issuance Form
Fidelity Bonding Issuance Form.docx Other-Fidelity Bonding Issuance Form

Information Collection (IC) Details

IC Title:	State Bonding Coordinators or AJC Counselors -- Data Collection and Submission	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Fidelity Bonding Issuance Form			Fidelity Bonding Issuance Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,000	2,000	6,000
Annual IC Time Burden (Hours)	800	200	600
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.